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Douglas Lee Wagoner, MD
Family Medicine Physician in Glencoe, Minnesota
NPI 1225027162

Douglas Lee Wagoner is a Family Medicine Physician based in Glencoe, MN. Douglas Lee Wagoner practices in Glencoe, MN and has the professional credentials of MD. The NPI Number for Douglas Lee Wagoner is 1225027162 and holds a License No. 27782 (Minnesota).

The current practice location address for Douglas Lee Wagoner is 1805 Hennepin Ave N, Glencoe, MN and can be reached out via phone at 320-864-3121 and via fax at 320-864-7887.

Location: 1805 Hennepin Ave N, Glencoe, MN, 55336-1416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225027162
Provider Name
Douglas Lee Wagoner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1805 Hennepin Ave N, Glencoe, MN, 55336-1416
Phone Number
320-864-3121
Fax Number
320-864-7887
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024767000 05 MN
institution
Provider Business Practice Location Address Details
Address
1805 Hennepin Ave N
City
Glencoe
State
Minnesota
Zip
55336-1416
Phone Number
320-864-3121
Fax Number
320-864-7887
person
Provider Business Mailing Address Details
Address
1805 Hennepin Ave N
City
Glencoe
State
Minnesota
Zip
55336-1416
Phone Number
320-864-3121
Fax Number
320-864-7887
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
27782 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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